[Unfavorable course of recurrent (schizoaffective) schizophrenia].

Based on clinico-catamnestic studies conducted in 50 patients with recurrent ("schizoaffective") schizophrenia 2 main types of an unfavourable disease course were distinguished: "stationary" (28 patients) and "labile-continual" (22 patients). The first variant was characterized by long and monotonous persistence of uniform affective delirious symptoms. The second variant was characterized by complete lack of any stability of the condition associated with permanent changing of polar affects and respective hallucinative delirious structures. Pronounced and reduced patterns of the disease course were distinguished in both variants. Clinical characteristics of the variants are provided, and ways by which they are formed are depicted. A number of theoretical problems, especially those concerned with the reliability of criteria for interrelations between the status and the disease course in the diagnosis and individual prognosis of the disease development are discussed.